CLIA lab
CLIA 10D1105791: Life Extension Wellness Center Inc
Dania Beach, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D1105791 belongs to Life Extension Wellness Center Inc in Dania Beach, FL.
Certificate of Waiver, effective September 29, 2025, expires September 28, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- September 29, 2025
- Certificate expiration
- September 28, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 29, 2009
- Facility type
- Other practitioner
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 10D1105791
- Lab name
- Life Extension Wellness Center Inc
- Additional name
- DBA Extended Life Wellness Center
- Address
- 213 E Sheridan St Ste 1, Dania Beach, FL 33004
- Phone
- (954) 921-9555
- Fax
- (954) 921-9556
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Conviva Medical Center Management LLCCertificate of Waiver, Physician office10D0915541
- Cross Pointe Care CenterCertificate of Waiver, Skilled nursing or nursing facility10D0996249
- Kidney Kare Outpatient Services IncCertificate of Waiver, End stage renal disease dialysis facility10D1100006
- Loyal Source Government Services LLCCertificate of Waiver, Federally qualified health center10D2280897
- MD Now Medical Centers IncCertificate of Waiver, Physician office10D2166108
- Medpro Urgent Care Center IncCertificate of Waiver, Rural health clinic10D2121684
- Memorial Primary Care Center - Dania BeachCertificate of Waiver, Physician office10D0975721
- Vikand Medical Solutions LLCCertificate of Waiver, Other10D2230179
- Wal-Mart Store East, LPCertificate of Waiver, Pharmacy10D2180021
Related
Questions
What is the CLIA number for Life Extension Wellness Center Inc in Dania Beach?
10D1105791, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Life Extension Wellness Center Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D1105791 expire?
The CMS file lists September 28, 2027 as the certificate expiration date; the certificate took effect September 29, 2025.